Yu pikin in mami ɛn dadi biznɛs difrɛn? (Disorders of Sexual Development - DSDs) Lɛ wi tɔk bɔt dis!

Sɔntɛnde we yu de luk pikin we dɛn jɔs bɔn, ɔ we di pikin de gro, yu kin notis sɔm chenj dɛn na dɛn bɔdi we kin mek yu wɔri ɔ wɔri smɔl. Ɛspɛshali if sɔntin de we nɔ klia bɔt di bɔdi, i nɔmal fɔ tink se, ‘Wetin de apin?’ Dɛn kayn tɛm ya, wan tin we wi fɔ no bɔt na dɛn prɔblɛm ya we kin apin we pɔsin de du mami ɛn dadi biznɛs, ɔ as wi kin kɔl dɛn , Disorders of Sexual Development (DSDs) .

Wetin na dɛn dizayd ya we de mek pɔsin du mami ɛn dadi biznɛs di we aw Gɔd nɔ want (DSD)?

fכ simpul wan, DSD na jεnarכl tεm fכ di rεnj כf kכndishכn dεm we involv chenj dεm na di pכsin in sεks kכntribyushכn, dat na, dεn kromozom dεm , gonad dεm (i.e. ovary כ tεstikul dεm) , כ jεnital dεm . Dɛn chenj ya kin si we dɛn bɔn am, sɔm tɛm dɛn kin apin we pɔsin de yɔŋ, ɔ ivin leta, wit sɔm sayn dɛn we kin apin we i dɔn big.

Lɛ wi tɔk bɔt sɔm ɛgzampul dɛn:

• Ivin if dεn bכn pikin wit di kromozom dεm fכ man (XY) , in εksternal jεnitalia (vulva) kin luk lεk uman.
• כda we de fכ du dat, ivin if dεn bכn uman pikin wit di (XX) kromozom dεm , di εksternal jεnitalia kin tan lεk man penis כ klitoris we big .
• כda wan dεm kin gεt כl tu di ovarian εn tεstikul tisu na dεn bכdi, we kin mek dεn jεnital luk man, uman, כ miks כl tu.
• sכmtεm, pan ɔl we di jεnital dεm nכmal, wan abnכmal tin na di kromozom strכkchכ kin ambɔg di growth εn divεlכpmεnt we de apin we di pikin de bכn.

Trade, dɛn bin de kɔl dɛn kɔndishɔn ya bak ‘intasɛks’ . dat min se pipul dεm we gεt kromozom, jεnital, כ riprodaktiv sistεm we nכ fit εksakכt insay di tradishכnal jεnda divεlכpmεnt fכ uman/man.

De impɔtant tin na dat fɔ gɛt (DSD) kɔndishɔn nɔr min se ɛnitin ‘rɔng’ de wit yu. I jɔs min se yu divɛlɔp difrɛn we smɔl pas ɔda pipul dɛn. We dɛn no di sik ɛn trit dɛn fayn fayn wan, bɔku pipul dɛn we gɛt (DSD) kin liv nɔmal layf.

Sɔm pipul dɛn kin lɛk fɔ yuz di wɔd "differentiation" instead of "disorder" we dɛn de tɔk bɔt DSD. Dis sho se dis na divεlכpmεnt abnכmal tin pas sik.

Wetin na di men kayn DSD dɛn?

Klose to 60 difrεn kכndishכn dεm de כnda dis כmbrela tεm (Disorders of Sexual Development). Sɔm pan di wan dɛn we bɔku pipul dɛn kin gɛt na:

• Andrɔjen Insɛnsitiviti Sindrom (AIS) .
• Adrenal haypaplasia we dɛn bɔn wit(Kɔnjɛnital Adrenal Haypaplasia - CAH) .
• Di sik we dɛn kɔl Kallman Syndrome
• Klaynfɛltɛr Sindrɔm
• Di sik we dɛn kɔl McCune-Albright Syndrome
• Prader-Willi Sindrom (PWS) we gɛt di sik we dɛn kɔl Prader-Willi.
• Di sik we dɛn kɔl Swyer Syndrome
• Wan sik we dɛn kɔl Turner Syndrome

Ɛni wan pan dɛn tin ya kin mek yu gɛt difrɛn sayn dɛm, so i impɔtant fɔ tɔk to dɔktɔ fɔ no ustɛm na di sik.

Wetin na di sayn dɛm fɔ DSD?

Pɔsin wae gɛt DSD kin gɛt difrɛn kayn sayn dɛm. Sɔm pan dɛn tin ya na:

• Absence of genitalia we dɛn bɔn am. εgzampl dεm na (Aphallia) - we min se dεn bכn am we nכ gεt penis, εn (Vaginal agenesis) - we min se di vagina nכ fulכp divεlכp.
• Sεks כgan dεm we de sho se dεn nכ de difrεnt frכm di wan dεm we man כ uman gεt. Fɔ ɛgzampul, di penis we nɔ de divɛlɔp ɔ di klitoris we dɔn big .
• Sɔm kɔndishɔn dɛn we de na di adrenal gland dɛn.
• Di ɔmon dɛn we nɔ balans.
• Ilektrolayt imbalans na di bɔdi.
• Menstrueshɔn de stat pan wan ej we nɔ kɔmɔn ɔ nɔ bigin atɔl.
• Testikul dɛn we nɔ de kam dɔŋ.
• Hypospadias - dis na we di urethra, di opin we di urine de kכmכt na di penis, de na difrεn say pas di tכp.

If yu notis wan ɔ mɔ pan dɛn sayn ya pan yu pikin, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin na de tin wae kin mek pɔrsin gɛt prɔblɛm wit mami ɛn dadi biznɛs?

Bɔku rizin dɛn de we mek dɛn kin bɔn pɔsin wit DSD. Sɔntɛnde, i kin pas wan tin we kin mek i apin. Na sɔm pan di men tin dɛn we kin mek i apin:

• Jεnεtik mכtεshכn: Dis na chenj dεm na di jin dεm. Sɔm pan dɛn na di chenj dɛn we dɛn kin gɛt frɔm dɛn mama ɛn papa . Ɔda wan dɛn kin bi spontan mutations, we kin apin we nɔ gɛt ɛni rizin we mek i apin.
• divεlכpmεnt εshyu dεm we di pikin de divεlכp: dεn kכndyushכn ya kin apin if sכm כgan dεm nכ de divεlכp fayn we di pikin de gro insay di bεlε.
• כmon insufficiency: Dis kin apin we di pikin in bכdi nכ de prodyuz inof כmon, כ we di bכdi nכ de rεspכnd fayn to di כmon dεm we i de prodyuz. I kin apin bak we di ɔmon we de mek di ɔmon nɔ de wok fayn fɔ ɔda rizin dɛn lɛk we di blɔd nɔ de go na di tɛstikul ɔ di ovaria.
• If yu gɛt sɔm ɔmon ɔ mɛrɛsin dɛn we yu gɛt bɛlɛ:Fɔ ɛgzampul, mɛrɛsin dɛn lɛk tɛstostɛron blɔk kin mek dis apin.

Dɛn tin ya we kin mek pɔsin gɛt dis sik rili kɔmpleks, na dat mek dɔktɔ dɛn de du dip fɔ no bɔt dis.

Wetin na di prɔblɛm dɛn we kin kam wit DSD?

Nɔto ɔlman wae gɛt DSD go gɛt wɛl bɔdi prɔblɛm. Bɔt sɔm pipul dɛn kin gɛt bɔku sik dɛn. Na sɔm ɛgzampul dɛn ya:

• כtoimyun sik dεm - Dis na sik dεm we di imyun sistεm de atak di bכdi in כwn sεl dεm.
• Conngenital hat sik - hat sik we de de we dεn bכn am.
• Ay blɔd prɛshɔn (Hypertension) ɔ lɔw blɔd prɛshɔn (Hypotension).
• Di we aw pɔsin nɔ ebul fɔ bɔn pikin.
• Di kɔndishɔn dɛn na di kidni.
• Mεtabolik sεndrכm.
• כstioporosis - Dis min se di bon dεm kin wik εn i kin brok izi wan.
• Tayp 2 dayabitis.

Bɔt mɛmba se dɛn tin ya na jɔs ‘risk’ we kin apin. Nɔto ɔlman de divɛlɔp dɛn. Dɛn kin kɔntrol dɛn risk ya bay we dɛn de ɔnda di rayt dɔktɔ we de kia fɔ dɛn.

Aw dɛn kin no bɔt DSD? (Diagnosis) .

Sɔntɛnde, dɔktɔ dɛn kin no DSD we dɛn bɔn am. Bɔt sɔm kayn DSD dɛn de we in sayn dɛn kin sho mɔ we di pikin rich di tɛm we i dɔn rich in yɔŋ ɔ ivin leta we i dɔn day.

Dɔktɔ go du fɔs fɔ chɛk in bɔdi. Afta dat, dɛn kin du ɔda tɛst dɛn fɔ mek di tin klia mɔ, lɛk:

• Pɛlvik ɔltra saund ɔ MRI (Magnetic Resonance Imaging) tɛst.
• karyotayp tεst na tεst we de chεk fכ di kromozom abnכmaliti.
• Jɛnɛtik tɛst dɛn we de sho di jin dɛn we de chenj .
• כmon tεst dεm de mכsu di כmon lεvεl dεm na di bכdi.

Na di infɔmeshɔn we dɛn kin gɛt frɔm dɛn tɛst ya kin mek di dɔktɔ rich wan patikyula diagnosis.

Aw dɛn kin trit DSD dɛn?

Dipen pan aw di sik kin tranga, pɔrsin wae gɛt DSD kin nid tritmɛnt lɛk:

• Ɔmon riplesmɛnt tɛrapi: Dɛn kin du dis fɔ mek i yɔŋ ɛn fɔ ridyus di risk fɔ gɛt wɛlbɔdi prɔblɛm dɛn we gɛt fɔ du wit DSD, lɛk ɔstioporosis .
• Rikostrɔktiv ɔpreshɔn: Dɛn kin du dis ɔpreshɔn fɔ chenj di we aw di bɔdi dɛn we de na di bɔdi de luk. Bɔt,If i nɔ nid fɔ du dat, dɔktɔ dɛn kin put di tin dɛn we dɛn nɔ go ebul fɔ chenj lɛk dis te di pikin dɛn dɔn ol fɔ disayd fɔ dɛnsɛf. Dis na tin we rili impɔtant.

Fɔ sɔm pipul dɛm, di sayn dɛm fɔ DSD nɔr kin rili smɔl ɛn dɛn nɔr kin nid ɛni tritmɛnt.

Udat de trit di prɔblɛm dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs?

If yu pikin gɛt wan sik we dɛn kɔl DSD, dɛn go nid fɔ gɛt tritmɛnt frɔm wan tim we gɛt bɔku bɔku dɔktɔ dɛn. Dis tim kin gɛt:

• Di dɔktɔ dɛn we de mɛn pikin dɛn.
• Dɔktɔ dɛn we de mɛn mɛrɛsin fɔ yɔŋ pipul dɛn.
• Pikin dεm we dεn kכl εndokrinכlכjis - dat na, hכmon spεshal pipul dεm.
• Pikin dɛn we de mɛn yu urolɔg.
• Di wan dɛn we de mɛn pikin dɛn we de mɛn uman dɛn.
• Di wan dɛn we de stɔdi bɔt di jɛnɛtiks.
• Di wan dɛn we de stɔdi bɔt pikin dɛn maynd.

Na wit di sɔpɔt we ɔl dɛn pipul ya de gi di pikin di bɛst tritmɛnt.

Wetin na di fiuja fɔ pipul dɛm wae gɛt DSD?

Pipul wae gɛt (DSD) kin gɛt bɔrku risk fɔ gɛt sɔm kayn wɛl bɔdi prɔblɛm. Bɔt if dɛn no di sik ɛn trit dɛn fayn, dɛn kin liv lɔng, nɔmal layf, jɔs lɛk pipul dɛn we nɔ gɛt (DSD). So nɔ lɔs op.

Mi pikin gɛt wan sik we dɛn kɔl DSD. Aw a go kia fɔ am?

Puberty nɔto izi tɛm fɔ ɛnibɔdi. Fɔ pikin dɛn we gɛt DSD, dis kin bi di fɔs tɛm we dɛn no se dɛn bɔdi difrɛn frɔm dɛn kɔmpin dɛn bɔdi. I kin rili kɔmplikt ɛkspiriɛns fɔ dɛn.

Di bɛst tin we yu go du fɔ yu pikin na fɔ lɛk am ɛn sɔpɔt am we nɔ gɛt ɛni kɔndishɔn. Na sɔm tin dɛn we yu kin du fɔ ɛnkɔrej am:

• Tɔk opin wan bɔt in (DSD) kɔndishɔn, jɔs lɛk aw yu go tɔk bɔt ɛni ɔda sik. Nɔ kip am as big sikrit.
• Mek i no bifo tɛm wetin go apin ɛn wetin fɔ ɛkspɛkt pan ɛni dɔktɔ apɔntinmɛnt.
• Ɛnkɔrej am fɔ tek pat pan tin dɛn we i lɛk ɛn du tin dɛn we i lɛk.
• Fɛn wan kwalifay advaysa fɔ ɛp yu pikin fɔ dil wit di kɔmpleks filin dɛn we i de gɛt.

Mɛmba se, di lɔv, ɔndastandin, ɛn sɔpɔt we yu gɛt na di big trɛnk we yu pikin gɛt fɔ go tru dis waka.

Yu tink se dɛn kin mek dɛn nɔ gɛt DSD?

Nɔ, dɛn nɔ go ebul fɔ stɔp DSD dɛn. No we nɔ de fɔ no bifo tɛm if prɔblɛm de we go mek yu gɛt DSD. Dɔn bak, yu nɔ go ebul fɔ kɔntrol us jenɛtik abnɔmal tin dɛn yu pikin go gɛt. Dis na jɔs sɔntin we kin apin sɔntɛnde.Nɔ fil gilti fɔ dat.

Ustɛm a fɔ go to mi pikin in dɔktɔ?

Bɔku tɛm, dɔktɔ dɛn kin no DSD we dɛn bɔn am. Bɔt sɔntɛnde, di sayn dɛn kin sho we pɔsin de yɔŋ ɔ we i dɔn big. If yu tink se sɔntin nɔ kɔmɔn bɔt yu pikin, mek apɔntinmɛnt fɔ go to dɔktɔ. Di dɔktɔ kin du in bɔdi ɛgzam ɛn if nid de, ɔda fɔ du ɔda tɛst fɔ no wetin de mek yu pikin gɛt di sik.

Us kwɛstyɔn dɛn a fɔ aks mi pikin in dɔktɔ?

If dɛn bɔn yu pikin wit wan sik (DSD), yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Wetin na mi pikin in kɔndishɔn rili?"
• "Wea a go fain out mo abaut dis situeshɔn?"
• "Us kayn tritmɛnt i nid?"
• "Spɔt grup de we de ɛp pikin ɛn mama ɛn papa lɛk dis?"

Na nɔmal tin fɔ gɛt miks pan aw yu de fil we yu gɛt diagnosis fɔ (DSD). Na wan say, yu kin fil fri fɔ no se dɛn dɔn gi yu (ɔ yu pikin in) sayn dɛn nem. Bɔt i nɔmal bak fɔ fil kɔnfyus ɛn nɔ shɔ, de wɔnda, "Wetin a fɔ du naw?" Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt aw yu de fil. Dɛn kin tɛl yu bɔt di tin dɛn we yu nid ɛn if yu nid tritmɛnt.

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Disorder of sexual development (DSD) na wan kɔmpleks tɔpik, bɔt i impɔtant fɔ mɛmba dɛn tin ya:

• (DSD) nɔto ‘fɔlt’, na ‘difrɛns’. Pikin ɛn big pipul dɛm wae gɛt dis sik nid fɔ lɛk, ɔndastand, ɛn sɔpɔt.
• Fɔ no di pɔsin kwik kwik wan ɛn fɔ gi yu di rayt advays to dɔktɔ rili impɔtant. Dis kin mek bɔku prɔblɛm nɔ kam ɛn i kin ebul fɔ manej dɛn fayn fayn wan.
• We yu de mek tin dɛn we yu nɔ go ebul fɔ chenj lɛk ɔpreshɔn, i impɔtant fɔ peshɛnt te di pikin dɔn ol fɔ ɔndastand (lɛk if i nid fɔ du am pan mɛrɛsin).
• Nɔto yu wan de. Dɔktɔ, advays, ɛn sɔpɔt grup de wae kin ɛp pipul dɛm wae gɛt dis sik.
• Wit di rayt manejmɛnt ɛn sɔpɔt, bɔrku pipul dɛm wae gɛt (DSD) de liv gladi, sakrifays, ɛn nɔrmal layf.

A op se dis infɔmeshɔn go ɛp yu. If yu ɔr pɔrsin wae yu sabi go lɛk fɔ no mɔr bɔt dis sik, nɔr shem fɔ tɔk to dɔktɔ.

` dizכrd dεm fכ divεlכpmεnt fכ sεks, DSD dεm, jεnital dεm, kromozom dεm, כmon dεm, jεnεtik mכtεshכn dεm, pikin hεlth